Facebook tracking pixel
R45.88
ICD-10-CM
Self-Injurious Behavior

Find comprehensive information on self-injurious behavior including clinical documentation, medical coding, and DSM-5 criteria. Learn about NSSI, self-harm, cutting, burning, and other forms of self-inflicted injury. This resource provides guidance for healthcare professionals on diagnosis, assessment, treatment, and intervention strategies for patients exhibiting self-injurious behavior. Explore resources related to mental health, behavioral health, and psychiatric coding for self-harm. Understand the difference between suicidal behavior and nonsuicidal self-injury for accurate documentation and billing.

Also known as

Self-Harm
Non-Suicidal Self-Injury

Diagnosis Snapshot

Key Facts
  • Definition : Directly and intentionally inflicting harm to oneself, without suicidal intent.
  • Clinical Signs : Cutting, burning, hitting, scratching, interfering with wound healing.
  • Common Settings : Mental health clinics, hospitals, residential treatment centers, schools.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R45.88 Coding
F63.8

Other impulse-control disorders

Covers self-injurious behaviors not classified elsewhere.

R45.81

Suicidal ideation

May be relevant if self-injury is associated with suicidal thoughts.

Z91.5

Personal history of self-harm

Documents past episodes of self-inflicted injury.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the self-injurious behavior associated with a known mental disorder?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Self-harm without suicidal intent
Suicidal behavior disorder
Borderline personality disorder

Documentation Best Practices

Documentation Checklist
  • Document frequency, severity, and types of SIB
  • Describe the function of SIB (e.g., attention, escape)
  • Note any triggers or antecedents to SIB
  • Document medical/psychosocial interventions and response
  • Include current/past treatments and their effectiveness

Coding and Audit Risks

Common Risks
  • Unspecified Intent Coding

    Coding self-harm without clarifying accidental vs. intentional nature leads to inaccurate data and potential claim issues. CDI crucial for specificity.

  • Superficial Injury Overlook

    Minor self-harm may be undercoded if detailed documentation lacks. Comprehensive injury descriptions vital for accurate severity coding.

  • Underlying Cause Neglect

    Coding self-harm without addressing underlying mental health disorders risks inaccurate severity and treatment. Thorough documentation needed.

Mitigation Tips

Best Practices
  • Document SIB onset, frequency, methods, location, triggers (ICD-10 N64.4, Z91.5)
  • Assess for underlying mental health conditions (e.g., depression, anxiety, PTSD)
  • Differentiate SIB from suicidal behavior for accurate coding DSM-5 V91.81
  • Collaborate with mental health professionals for comprehensive care plan
  • Standardize SIB documentation for improved data analysis, compliance audits

Clinical Decision Support

Checklist
  • Document NSSI/SIB per DSM-5 criteria (ICD-10 F68.8)
  • Assess risk factors: Hx of trauma, mental illness
  • Screen for depression, anxiety, personality disorders
  • Safety plan: address triggers, coping skills, support

Reimbursement and Quality Metrics

Impact Summary
  • Self-Injurious Behavior reimbursement hinges on accurate ICD-10 coding (e.g., F68.8, R45.88) and precise documentation of severity, frequency, and treatment.
  • Coding errors for Self-Injurious Behavior impact hospital revenue cycle, leading to claim denials and reduced reimbursement.
  • Quality metrics like readmission rates and patient safety indicators are negatively affected by inaccurate Self-Injurious Behavior documentation.
  • Proper coding and reporting of Self-Injurious Behavior is crucial for data analysis, resource allocation, and quality improvement initiatives.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code underlying cause, not SIB
  • Document SIB frequency/severity
  • R45.88 for nonspecific SIB
  • F68.X for personality disorder SIB
  • Z91.51 for history of SIB

Documentation Templates

Patient presents with self-injurious behavior (SIB), nonsuicidal self-injury (NSSI), characterized by deliberate self-harm without suicidal intent.  The patient reports engaging in cutting behavior on their forearms, described as a coping mechanism for emotional distress and anxiety.  Frequency of self-harm episodes varies, with increased incidence during periods of heightened stress.  No suicidal ideation or plan reported at this time.  Patient denies current use of drugs or alcohol.  Mental status exam reveals affect congruent with reported mood, thought content focused on self-critical thoughts and feelings of inadequacy.  Insight and judgment appear intact regarding the harmful nature of the SIB, but the patient expresses difficulty controlling the impulses.  Differential diagnoses considered include borderline personality disorder, depression, anxiety disorder, and post-traumatic stress disorder.  Assessment includes evaluation for past trauma, history of abuse, and family history of mental illness.  Treatment plan includes referral for individual therapy focused on dialectical behavior therapy (DBT) skills training, cognitive behavioral therapy (CBT) techniques for managing emotional regulation, and safety planning to reduce self-harm behaviors.  Patient education provided on coping strategies, stress management techniques, and resources for mental health support.  Follow-up appointment scheduled to monitor progress and adjust treatment plan as needed.  ICD-10 code F68.8 (other specified impulse control disorder) or Z91.51 (personal history of self-harm) may be applicable depending on the specific circumstances and presentation.  CPT codes for evaluation and management services, psychotherapy, and psychological testing may be utilized for billing purposes, depending on the services rendered.